How to Discuss Do Not Resuscitate (DNR) Orders with Patients

Successful discussions about DNR orders begin with communication about the patient's overall goals of care. Working to help patients and families achieve their goals and understand the limits of modern medical care can be rewarding when this skill is mastered. Watch this video to see Charles von Gunten, MD, PhD discuss DNR goals and options with a patient. To learn about OhioHealth Hospice, visit www.ohiohealth.com/hospice.
Discussing Do Not Resuscitate Status with Patients, by Charles von Gunten, MD:
ow.ly/qHIbT

[@afterracksent]

It broke my family's heart when my aunt signed a DNR but we finally understood why. She didn't wanna stay on earth with CHF, knowing her heart could give out again. Rest in peace Auntie💔

[@Sonicfly190]

After my wife passed away I went to get a DNR for myself....best thing I ever did.....seeing my mother waste away with last stage dementia.

[@atentat07]

What if you go the hospital and they oversedate you unintentionally (happened to me), they would need to intubate you for a bit. Otherwise you would have been out of there in no time, fully recovered, but wouldn't a DNR unnecessarily kill you in this case?

[@prpeptv8463]

@@atentat07 i feel like i would always choose life.

[@miscellaneousz2681]

@@atentat07 looks like that’s happened to him 🤷‍♂️

[@DriftyAlison0]

@@atentat07 DNR only means if the heart stops then no cpr is to be done. If your heart is still beating you should be able to do it. Let your MDA or whoever makes decisions for you if your unable to what your wishes are and have them written down.

[@dr.bhalgat.oncosurgeon]

a very patient and empathic conversation by the doctor with the terminally ill patient.. very good

[@itme999]

This is really good and the patient reminded me of my late father. 💔

[@stephenmaiforc9343]

Nice piece. Life..

[@PrincessofPower84]

I signed a DNR order on May 23, 2011. I am in perfect health. I did it as both a backup plan and I told myself that of ANYTHING came along to change my way of thinking, I would render it void. Ten years later, it still stands: I don't want to be in this world one second longer than I have to.

[@AngloSaxonWheatFarmer]

Not judging you or anything but don’t you think that it’s a bit hasty considering a deathly situation will change your mind? What if you have a change of heart in the moment? Seems kinda foolhardy to me

[@kevinmoore2501]

Good video, and good info. I’ve had a recurrent brain tumor for the past 10 years, and, had nurses, and doctors give me this talk. Although I initially denied this, I’m seriously reconsidering it now. I’ve been intubated, after a nasty staph infection threatened my airway, as well as having a gastric tube (G-tube) placed. This is so important to patients. Liked, and added to favorites. Good vid.

[@johnnylightning1967]

Don’t do it, your salvation at hand, offer up your suffering to Hod for the salvation of your soul.

[@FaridaSultanaIchoosesuccess]

@ Kevin Moore Great comment . My only question is , HOW DID YOU SURVIVE A BRAIN TUMOR FOR 10 YEARS? KINDLY GIVE DETAILS OF YOUR TREATMENT PROTOCOL. You made the comment 7 months ago. Please tell us how you are doing today? I am facing an identical situation and hence this cry for some information. Thanks Please if you can give me an email at [e-mail]

[@FaridaSultanaIchoosesuccess]

Whover you are , thanks for liking my comment . A reply would be appreciated more.

[@kevinmoore2501]

Chris, this was 10+ years ago, and, in order not to suffocate because of the swelling caused by staph, I went ahead with it. Although you’re mostly correct, I thought that, in the end, whoever is judging would side with the side of life over death. Also, Fariah, it’s not at all super speedy in its growth, thank god. Also, that’s just mostly time between regrowths.

[@kevinmoore2501]

Farida Sultana I see that I made it 7 months ago. I’m still here by the way, so, I’m doing relatively alright. I did surgery, and radiotherapy, and am now doing chemotherapy with radiotherapy.

[@leongasperment3343]

The keeping me alive part is what scares me the dying part no so much I have an DNR and its a fight to keep in force with doctors every time i have a procedure done

[@PED19777]

Thanks.

[@lizzcurly6946]

Thank you so much for sharing this conversation reguarding a patients code status! Super helpful 👌

[@khazanys]

I also liked how the guy is handling talking about his own death with humor.

[@bobolatrick]

@@khazanys humor is a very mature coping skill!

[@mcdonaldh56yahooca]

That's exactly what i want

[@michellemarie1197]

Both of my parents had a DNR at first I didnt understand why they had it and I was angry but I understand why now.

[@readingisin]

@Derekgough Gough Err...the DNR only comes into play when the person *has died*. If you believe in God, its the intervention that's presumably going against his 'will' here, not the lack thereof.

[@abbytamrat1662]

May I ask if I could have only a One-Time Resuscitate only to see if I could get better? Otherwise, I certainly don’t want to live as in a vegetative state. If the hospital approves why not put me to die through painless sleep as this patient said?

[@brrrr4]

superb

[@cezearr34]

Fuck, while watching the video i honestly though i was the guy and was feeling kinda scared of how it was so close to death, but God thank thank im just 18 right now. Still got some more time

[@destroyedsettings5506]

I’m 14 and I’m thankful I got time, what are you planning to do with your spare time?

[@cezearr34]

@@destroyedsettings5506 im 21 now. I now have a little less time here.

[@destroyedsettings5506]

@@cezearr34 what are you doing to live to the fullest?

[@cezearr34]

@@destroyedsettings5506 back when i commented on this i was partying and clubbing and enjoying life fresh out of highschool with my friends Now i work all fu?kng day everyday and its been about a year now that i started smoking weed 24/7 and cut all contact with a my friends. :(

[@catherineanderson2127]

@@cezearr34 You sound sad. Please give yourself something to look forward to, maybe training for a job you would like better and a night out with friends. Concerned

[@MariaLopez-ff3vb]

This patient looks young and healthy. My mom had congestion heart failure for years and never got sick until the end 97 yrs.

[@anyone173]

Help me out hear guys. My dad has told us he is DNR. So does it mean while i know i'm going to die ,I wan't to die while i am going to be the best i am. ?

[@CaptApril123]

It means if he 'codes'.. heart stops or something that they won't try to resuscitate (also called 'heroic measures'). As the doctor in the video explains they'll just let nature take its course. If you're at the end of life and the only prosepect is just more lingering in miserable health that's exactly what i'd want.

[@Surgtari]

man, those are really hard to go through, you just can't compensate their feelings enough, you NEVER do

[@sahilp9470]

Hell I signed my DNR at 21, beat that

[@allseriousness]

The only thing is making the time for this guy to talk to you... very slowly. But it has to be done.

[@yippies3726]

This is why getting old scares me

[@johnnylightning1967]

Suffering is purification of our sins if we bear our crosses ,other wise suffering without offering them to Christ is torture

[@cookiehale1445]

The older you get, the less scared you are. The body gets older and the mind is more accepting.

[@catherinereynolds8061]

Dont be silly! Age has nothing to do with death..We are all just a breath away from dying

[@cookiehale1445]

A nurse asked me if I had signed a form for no resuscitation, I said no. After taking blood, blood pressure, dna swab e.t.c, she handed me a form to sign. I signed it not connecting it to the no resuscitation form, as I had been talking to her and her colleague. How can I reverse it?

[@doctorharry]

Just tell them you nolonger wanna be a DNR

[@marchofnature636]

Is there a possibility that i could get a dnr but only if I become like unable to move my arms/legs? Because photography and hiking are my only hobbies and possibly my career in the future and if I cant do that then I will just be in a bed for my entire life :/

[@DriftyAlison0]

My mom has limited CPR which means that if they feel that she would recover then CPR would be done but if not then they will let her go. That is something to discuss with your doctor.

[@jamesark9926]

My Mother just passed away,, it's a dnr,,,,I'm afraid ,,,that I agree to have a c,p,r after her,,,open heart surgery,,during her struggling breathing with the paramedics,,,,with no resucitate,,,,,,she is finally over,,I'm afraid they might fractured her breastbone if they allow them to have a c,p,r,,the paramedics have a big hands,,,that's we need to prevent not to happen,,,

[@elainegoad9777]

I would like a presentation sans actor patient but real patients.

[@neauxmad1048]

Gen Z just like "send it ✌🏾"

[@matthewsmith1947]

This is how it should be

[@richricogranada9647]

This man looks so healthy and this must to be not real but just a theater

[@ulrikecanada]

I expect you to keep me alive no matter what, or at least remember you oath first do no harm

[@ghostytigger6383]

it has now reached a point that in new Zealand a doctor can sign on your behalf without your consent, disgusting

[@johnnylightning1967]

Carry your Cross. Suffering without offering it up to Christ is torture

[@johnnylightning1967]

Creepy , these are wolves in sheep’s clothing

[@CaptApril123]

How is this creepy? Constantly resuscitating a patient who's terminal is close to torture, we don't treat animals that way.

[@Jacob-mc6tn]

@@CaptApril123 humans aren't animals

[@simoncanet]

@@Jacob-mc6tn this man is clearly in constant pain and discomfort. He's constantly fatigued he can't do anything. He knows it's not going to get better so why should he want people to revive him? its not like resuscitation will help anything he will probably get another heart attack in the following weeks.

[@freespiritedblkgurl8049]

@@Jacob-mc6tn technically we are

[@dolphinleary3777]

I have 1 & it has reminded me of when I got it in my pre teens but now fresh out my 20's with items of a micronation forward that dream to another please plenty minerals for just myself? I mean WHO knew?🤦‍♀️🤷‍♀️🤯🤞👌🙄😒😱😎🥱👍 THANKS